| NPI | 1912387366 |
|---|---|
| Former Name | ELLEN DENISE CIESZKIEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002560) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1422) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2018-05-09 |